Schedule Attc-1 - Apprenticeship Training Tax Credits (Page 2 of 4) in pdf

Schedule ATTC-1

West Virginia

A T T C - 1

Apprenticeship Training Tax Credits

State Tax

Rev. 03/13

(For periods aFter January 1, 2012)

Department

Businesses and individuals receiving an allocation of credit must complete Part B below.

Part B – Businesses and individuals receiving an allocation of credit must complete Part B below.

BuSineSS

iDenTifiCATion

nAme

numBeR

TAx PeRioD

Beginning

enDing

YYYY

Person to contact

nAme of

concerning this return

TAxPAYeR

PRePAReR’S

ein

ADDReSS

—

CiTY oR PoST offiCe

STATe

ZiP CoDe

DAYTime TelePhone numBeR

Identification number (FEIN of SSN) of the

name of entity from which credit was received

Amount of credit received.

entity from which credit was received.

1. total credit received (sum of amount of credit received)........................................................................................................

.00

2. Business Franchise tax liability.............................................................................................................................................

.00

3. total of other tax credit claimed against the Business Franchise tax...................................................................................

.00

4. Business Franchise tax liability remaining after application of all other tax credits (if line 3 is greater than line 2, enter 0,

otherwise subtract the amount on line 3 from the amount on line 2 and enter the remainder here).....................................

.00

5. application of the apprenticeship training tax credit to offset Business Franchise tax liability (enter the lesser of the

amount on line 1 and the amount on line 4)..........................................................................................................................

.00

6. sub-total of apprenticeship training credit remaining (subtract the amount on line 5 from the amount on line 1 and

enter here).............................................................................................................................................................................

.00

7. corporation net income tax liability.......................................................................................................................................

.00

8. total of other tax credits claimed against the corporation net income tax..........................................................................

.00

9. corporation net income tax liability remaining after application of all other tax credits (if line 8 is greater than line 7,

enter zero. otherwise subtract the amount on line 8 from the amount on line 7 and enter the remainder here)..................

.00

10. application of the apprenticeship training tax credit to offset corporation net income tax liability (enter the lesser of

the amount on line 6 and the amount on line 9 here and on the corporation net income tax credit recap schedule)...

.00

11. subtotal of apprenticeship training tax credit remaining (subtract the amount on line 10 from the amount on line 6

and enter here)...................................................................................................................................................................

.00

12. Personal income tax liability...............................................................................................................................................

.00

13. total of other tax credits claimed against the Personal income tax...................................................................................

.00

14. Personal income tax liability remaining after application of all other tax credits (if line 13 is greater than line 12 enter

zero. otherwise subtract the amount on line 13 from the amount on line 12 and enter the remainder here).....................

.00

15. application of the apprenticeship training tax credit to offset Personal income tax liability (enter the lesser of the

amount on line 11 and the amount on line 14 here and on the Personal income tax credit recap schedule).................

.00

Under penalties of perjury, I declare that I have examined this credit form (including accompanying schedules and statements) and, to the best of my

knowledge, it is true and complete.

Signature of Taxpayer

Title

Date